Provider Demographics
NPI:1487911087
Name:HEALTH SOLUTIONS PHYSICAL MEDICINE
Entity type:Organization
Organization Name:HEALTH SOLUTIONS PHYSICAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:KATLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:818-985-5500
Mailing Address - Street 1:14622 VENTURA BLVD
Mailing Address - Street 2:STE 205
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-3600
Mailing Address - Country:US
Mailing Address - Phone:818-985-5500
Mailing Address - Fax:
Practice Address - Street 1:14622 VENTURA BLVD
Practice Address - Street 2:STE 205
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-3600
Practice Address - Country:US
Practice Address - Phone:818-985-5500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-19
Last Update Date:2014-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA72017208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty